How much rates vary
Facilitymedian $562 · 10th to 90th $295 to $912Professionalmedian $123 · 10th to 90th $93 to $186
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $120.23 Median $123.03 Typical High $141.25 | Facility | None | $120.23 | $123.03 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $123.03 Typical High $154.88 | Professional | None (both parts) | $120.23 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $69.18 Typical High $85.11 | Professional | 26 · Professional part | $64.57 | $69.18 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $56.23 Typical High $69.18 | Professional | TC · Technical part | $53.70 | $56.23 | $69.18 |
BCBS Louisiana Setting Facility Modifier None Typical Low $323.59 Median $562.34 Typical High $870.96 | Facility | None | $323.59 | $562.34 | $870.96 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $91.20 Median $109.65 Typical High $186.21 | Professional | None (both parts) | $91.20 | $109.65 | $186.21 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $93.33 | Professional | 26 · Professional part | $50.12 | $58.88 | $93.33 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $52.48 Typical High $91.20 | Professional | TC · Technical part | $41.69 | $52.48 | $91.20 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $52.48 | Professional | 26 · Professional part | $39.81 | $39.81 | $52.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $147.91 Typical High $218.78 | Professional | None (both parts) | $83.18 | $147.91 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $74.13 Typical High $109.65 | Professional | 26 · Professional part | $43.65 | $74.13 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $74.13 Typical High $107.15 | Professional | TC · Technical part | $40.74 | $74.13 | $107.15 |
United Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $1,230.27 | Facility | None | $512.86 | $676.08 | $1,230.27 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $117.49 Typical High $173.78 | Professional | None (both parts) | $89.13 | $117.49 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $46.77 | $61.66 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $51.29 Typical High $83.18 | Professional | TC · Technical part | $40.74 | $51.29 | $83.18 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $61.66 Typical High $75.86 | Professional | 52 · Reduced service | $60.26 | $61.66 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $25.12 Typical High $30.90 | Professional | 53 · Discontinued | $23.99 | $25.12 | $30.90 |
Where Louisiana sits
The same service costs 3.8 times more in Minnesota than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Louisiana· 31st of 51
$126
MN $269UT $70.79
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.